What is cheek augmentation?

The goal of cheek augmentation is to add volume or lift to the cheeks. This cosmetic procedure is often sought after by individuals who are concerned about the loss of volume or sagging in their cheeks due to aging or those who have naturally flat or thin cheeks.

Cheek augmentation can help improve facial balance, restore youthful contours, and enhance overall facial harmony. They can also minimise wrinkles and other facial lines.

The loss of cheek volume as a result of aging can have various effects on the skin, including thinning and decreased elasticity. This can lead to several aesthetic concerns, including:

  1. Dark discolorations: As the skin thins and loses elasticity, it may become more translucent, making blood vessels and underlying structures more visible. This can result in the appearance of dark discolorations, especially under the eyes.

  2. Unsightly folds: The loss of volume in the cheeks can contribute to the development of folds and wrinkles, particularly in the area under the eyes. These folds are often referred to as “eye bags” or “tear troughs” and can create a tired or aged appearance.

Addressing these concerns may require a combination of treatments, such as cheek augmentation to restore volume, as well as procedures to improve skin quality and texture, such as topical skincare and laser treatments.

Injectable Fillers such as Hyaluronic acid-based fillers or other biocompatible substances can be injected into the cheeks to add volume and contour. 


How long does cheek augmentation last?

The longevity of cheekbone filler treatments can vary depending on factors such as the type of filler used, the individual’s metabolism, lifestyle factors, and the specific technique employed during the procedure.

Hyaluronic acid-based fillers, which are commonly used for cheek augmentation, typically last between 6 to 24 months.

Follow-up appointments and touch-up treatments may be recommended to maintain the desired results over time.


Am I an Ideal Candidate for Cheek Augmentation?

Cheek fillers are better for patients who are concerned about premature  signs of aging. Cheek augmentation isn’t limited to older individuals seeking to address age-related volume loss. Younger individuals can also benefit from this procedure for various reasons:

  1. Improving symmetry: Cheek augmentation can help correct asymmetries in the face, enhancing overall facial balance and harmony.

  2. Correcting deformities: Some individuals may be born with underdeveloped or asymmetrical cheekbones, while others may develop deformities due to trauma or medical conditions. Cheek augmentation can help correct these issues and restore a more aesthetically pleasing appearance.

  3. Enhancing facial beauty: Cheek augmentation can be used to enhance facial features and achieve a more defined and sculpted look.


Benefits of Cheek Augmentation Vs Implants

  1. Slowing down signs of aging: Cheek fillers can effectively restore lost volume and enhance facial contours, helping to address signs of aging such as volume loss and sagging in the cheeks.

  2. Temporary modification: Fillers are suitable for individuals who want to enhance their previous facial structure without modifying it permanently

  3. Suitability for additional treatments: Since fillers typically last for a limited duration, individuals who have the time and resources for periodic touch-up treatments may find them more suitable.

  4. Alternative to surgery: For individuals who are not suitable candidates for surgical procedures or prefer non-invasive options, fillers can provide a viable alternative to plastic surgery.


How long is the downtime for cheek augmentation?

Following a non-surgical cheek augmentation of dermal filler treatment, ice packs are applied to the treatment area to help minimize swelling at the injection sites. Most patients have no downtime and can resume daily activities immediately. It is expected that there may be some mild swelling that resolves on its own within one to two weeks of treatment. 

  1. Application of ice packs: Ice packs are commonly used after the procedure to help reduce swelling and discomfort at the injection sites. The cold temperature helps constrict blood vessels and minimise inflammation, promoting faster healing.

  2. Minimal downtime: Most patients can resume their daily activities immediately after the procedure. However, it’s normal to experience some mild swelling, redness, or bruising at the injection sites, which typically resolves on its own within one to two weeks.

  3. Avoiding exertional exercise: It’s advisable for patients to avoid strenuous physical activities for at least 48 hours following the cheek filler treatment. This precaution helps minimize the risk of exacerbating swelling or discomfort at the injection sites.

  4. Monitoring for complications: While complications are rare, patients should be vigilant for any signs of infection, excessive swelling, or other adverse reactions following the procedure. 


Overall, the recovery process following a non-surgical cheek augmentation with dermal fillers is relatively straightforward, with most patients able to resume their normal activities shortly after the treatment.


Why choose dermal fillers for cheek enhancement?

Cheek augmentation procedures have become increasingly popular in recent years because they offer an elegant, non-surgical way to restore lost volume to the face, treat sagging skin, and replace natural collagen loss

Facial plastic surgery used to be the only method for bringing a fuller look to the cheeks. Long recovery times, bruising, sedation, sutures, and limited mobility after surgery have led dermatologists and patients to prefer non-invasive alternatives, such as cheek enhancement through hyaluronic acid fillers.

The popularity of non-surgical options like cheek fillers has soared in recent years due to several factors:

  1. Non-surgical approach: Cheek fillers offer a non-invasive alternative to traditional surgical procedures, making them appealing to individuals who want to enhance their appearance without undergoing surgery.

  2. Minimal downtime: Unlike surgical interventions, which often require extensive recovery periods, cheek filler treatments typically involve minimal downtime. Patients can typically resume their daily activities almost immediately after the procedure.

  3. Instantaneous results: One of the key advantages of cheek fillers is that they provide immediate results. Patients can see a noticeable improvement in cheek volume and contour right after the treatment, enhancing their satisfaction with the procedure.

  4. Reduced risks and discomfort: Non-surgical procedures generally involve fewer risks and less discomfort. Cheek filler treatments are performed using numbing cream, minimizing any discomfort during the procedure.

  5. Customisable outcomes: Cheek fillers allow for precise and customisable results, as the amount and placement of filler can be tailored to each patient’s unique facial anatomy and aesthetic goals.


Overall, the accessibility, safety, and effectiveness of cheek fillers have made them a preferred option for individuals seeking to restore lost volume, treat sagging skin, and achieve a more youthful and rejuvenated appearance without the drawbacks associated with invasive surgical procedures.

Product BTO-ME – Marionettes (downturned corners of mouth)

What are marionette lines?

  1. Marionette lines are the creases or lines that extend from the corners of the mouth downward to the chin. They are named after marionette puppets, which often have visible vertical lines in a similar location, giving the impression of the puppet’s mouth being manipulated by strings.
  2. Factors such as aging, genetics, sun exposure, and lifestyle habits like smoking can contribute to the development and deepening of marionette lines over time. They can be a source of concern for individuals as they can contribute to an aged or tired appearance.
  3. Various cosmetic procedures, including dermal fillers and laser treatments can be used to address marionette lines and restore a more youthful and rejuvenated appearance to the lower face. 


What is the difference between marionette lines vs. nasolabial folds?

Marionette lines and nasolabial folds are distinct facial features located in different areas:

  1. Nasolabial folds: These are commonly referred to as smile lines and extend from the sides of the nose down to the corners of the mouth. They become more pronounced with age due to the loss of skin elasticity and facial fat, as well as repetitive facial movements like smiling.
  2. Marionette lines: In contrast, marionette lines are creases or folds that extend from the corners of the mouth downward to the chin. Marionette lines often develop as a result of facial aging, gravity, and changes in facial volume and support structures.


Who typically gets marionette lines?

Certain lifestyle habits and environmental factors can accelerate the formation of these lines or make them more pronounced. Here are a few examples:

  1. Smoking: Smoking is known to accelerate skin aging and contribute to the formation of wrinkles and fine lines, including marionette lines. The chemicals in cigarette smoke can damage collagen and elastin fibers in the skin, leading to premature aging and increased wrinkling.
  2. Sun exposure: Chronic exposure to ultraviolet (UV) radiation from the sun can lead to collagen breakdown and elastin degradation in the skin. Over time, this can result in the development of fine lines, wrinkles, and skin sagging, including marionette lines.
  3. Genetics: While aging is a natural process, genetics can play a significant role in determining how quickly and to what extent marionette lines develop. Some individuals may be genetically predisposed to have more prominent facial wrinkles and lines, including marionette lines.
  4. Facial expressions: Repetitive facial movements, such as frowning or pursing the lips, can contribute to the formation of wrinkles and lines over time. These movements can create creases in the skin that eventually become more pronounced, especially in areas prone to dynamic wrinkles, such as around the mouth.
  5. Skin care regimen: A lack of proper skincare, including moisturizing and sunscreen use, can exacerbate the effects of aging and contribute to the development of wrinkles and fine lines, including marionette lines.

While marionette lines are a natural part of aging for many individuals, adopting healthy lifestyle habits, protecting the skin from sun damage, and following a consistent skincare routine can help minimize their appearance and delay their onset. 

Marionette lines typically appear around age 40. But you may see faint or subtle lines at the corners of your mouth in your 20s and 30s.

Symptoms and Causes

What causes marionette lines?

Marionette lines may develop due to:

  1. Aging and naturally losing collagen and elastin in your skin.
  2. Having parents or grandparents with marionette lines.
  3. Not wearing sunscreen on your face.
  4. Pursing your lips frequently.
  5. Severe stress.
  6. Smoking.
  7. Sun exposure, which can lead to sun damage.